ICL手术相关并发症  

Complications related to implantable collamer lens(ICL)

作　　者：张浩[1] 邓应平[1] Zhang Hao;Deng Yingping(Department of Ophthalmology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院眼科,610041

出　　处：《国际眼科纵览》2022年第2期97-103,共7页International Review of Ophthalmology

摘　　要：有晶状体眼后房型人工晶状体即可植入式接触镜(implantable collamer lens,ICL)植入是一种常见的屈光矫正手术,手术量逐年提高,特别是新型ICL(V4c)的应用,手术有效性和安全性得到了医师和患者的认同。为了更加规范地开展ICL手术,对于V4c等应用中出现的并发症有必要进行总结。本文总结ICL用于近视矫正术后发生的常见和罕见并发症,重点分析角膜内皮细胞密度、眼压和拱高等异常情况。与V4相比,V4c型ICL植入术后角膜内皮细胞丢失、前囊下白内障及瞳孔阻滞等并发症发生率更低,但术后光学相关并发症、拱高异常等问题依然存在。(国际眼科纵览,2022,46:97-103)Implantable collamer lens(ICL)implantation is a common refractive surgery.The amount of ICL implantation is increasing year by year,especially the new type of V4c ICL.The efficacy and safety of the operation have been recognized by doctors and patients with the application of the new type ICL(V4c).It is necessary to summarize the complications in the use of V4c ICL in order to make better clinical application.This review summarizes the common and rare postoperative complications of ICL in the refractive surgery,such as the analysis of corneal endothelial cell density,intraocular pressure,vault ect.Compared with V4 ICL,the incidence of complications such as corneal endothelial cell loss,anterior subcapsular cataract and pupil block after V4c ICL is lower,but the postoperative optical related complications and abnormal vault still exist.(Int Rev Ophthalmol,2022,46:97-103)

关 键 词：有晶状体眼后房型人工晶状体 手术并发症 

分 类 号：R779.6[医药卫生—眼科]